| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,631 |
2,501 |
$213K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,379 |
1,304 |
$127K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,802 |
1,774 |
$77K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,392 |
2,372 |
$70K |
| V2020 |
Frames, purchases |
1,064 |
1,063 |
$29K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
629 |
626 |
$26K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
313 |
313 |
$9K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
116 |
116 |
$6K |
| V2025 |
Deluxe frame |
124 |
124 |
$4K |
| 92015 |
Determination of refractive state |
1,382 |
1,302 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
61 |
61 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
43 |
43 |
$1K |
| 3072F |
|
852 |
848 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
12 |
12 |
$0.00 |
| 2023F |
|
54 |
54 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
29 |
29 |
$0.00 |